ATI mental health practice B
A charge nurse on a intellectual fitness unit is discussing patron rights with a newly licensed
nurse. Which of the subsequent statements should the charge nurse make?
A. "Clients can't refuse to take medicines if they may be admitted involuntarily."
B. "You can notify a consumer's circle of relatives if they are admitted involuntarily."
C. "Clients who are admitted involuntarily maintain the proper to offer informed consent for
strategies."
D. "You can dispose of a consumer's privileges if they are admitted involuntarily and refuse to
wait remedy classes." - ANS-C. "Clients who are admitted involuntarily keep the right to present
knowledgeable consent for methods."
Clients who are admitted involuntarily keep the proper to provide informed consent for
treatment. They additionally have the proper to give knowledgeable consent for strategies.
A client who has a latest diagnosis of bipolar disorder is placed in a room with a patron who has
excessive despair. The consumer who has melancholy reviews to the nurse, "My roommate
never sleeps and continues me up, too." Which of the subsequent moves ought to the nurse
take?
A. Move the customer who has bipolar disorder to a private room.
B. Administer sleep remedy to the consumer who has bipolar disorder.
C. Move the client who has intense depression to a private room.
D. Administer sleep medicine to the consumer who has excessive despair. - ANS-A. Move the
customer who has bipolar disorder to a personal room.
Clients who've bipolar disorder can disrupt the therapeutic milieu for different customers.
Therefore, the nurse should pass this purchaser to a personal room.
A nurse at a carriers workplace is interviewing an older grownup consumer. Which of the
following actions need to the nurse plan to take?
Nurse's Notes
The customer reviews a history of anxiety; recognized with Alzheimer's ailment 2 months ago.
The client's companion died 6 months ago. Reports reduced urge for food, low strength stages,
and insomnia for several weeks; some memory loss.
Graphic Results
SaO2 ninety six% on room air
Respiratory charge 20/min
Blood strain 112/seventy six mm Hg (lying)
,Blood strain 104/68 mm Hg (standing)
Heart charge 68/min
Temperature 36° C (96.Eight° F)
Medication Administration Record
Captopril 12.5 mg by means of mouth 3 instances each day
Digoxin zero.One hundred twenty five mg by using mouth every morning
Multivitamin with iron one by means of mouth every day
Docusate sodium 50 mg via mouth each evening
A. Use a screening tool to assess the client for melancholy
B. Ask the issuer to decrease the dosage of the patron's blood stress remedy.
C. Instruct the clie - ANS-A. Use a screening device to assess the client for depression
Depression may be underdiagnosed among older grownup customers. The nurse should
discover numerous threat factors for melancholy from the consumer's statistics, which includes
having Alzheimer's disorder, anxiety, and the loss of a loved one. Manifestations of depression
also can be nonspecific for older grownup customers and can encompass weight loss,
decreased power ranges, and trouble drowsing.
A nurse in a network clinic is teaching households of clients who've submit-annoying stress
sickness (PTSD) about anticipated clinical manifestations. Which of the subsequent
manifestations ought to the nurse consist of?
A. Repeatedly talks approximately the demanding incident
B. Sleeps excessively
C. Stories emotions of isolation
D. Uses repetitive speech - ANS-C. Reports emotions of isolation
The nurse need to assume clients who've PTSD to experience estranged and indifferent from
others.
A nurse in a network health facility is operating with a group of clients who've post-demanding
pressure ailment. Which of the subsequent interventions need to the nurse encompass to
lessen anxiety a number of the institution contributors?
A. Response prevention
B. Guided imagery
C. Aversion remedy
D. Light remedy - ANS-B. Guided imagery
Guided imagery involves helping the client to assume a restful and secure location. This method
is effective in reducing anxiety in clients who've publish-annoying stress ailment.
, A nurse in a intellectual fitness clinic is caring for a customer who has submit-annoying pressure
sickness (PTSD) after returning from military deployment. Which of the following is the concern
motion for the nurse to take?
A. Assist the consumer to pick out non-public regions of strength.
B. Encourage the consumer to talk about experiences for the duration of the deployment.
C. Stay with the purchaser while flashbacks arise.
D. Teach the client pressure-management strategies. - ANS-C. Stay with the consumer whilst
flashbacks arise.
The best chance to this purchaser is harm that could arise at some point of a flashback;
therefore, the concern intervention for the nurse is to remain with the client and offer
reassurance and help while flashbacks occur.
A nurse in a mental fitness clinic is making plans for 4 clients. Which of the subsequent tasks
should the nurse delegate to an assistive employees (AP)?
A. Discuss outpatient resources with a customer who has submit-demanding pressure sickness.
B. Create a plan of care for a client who's experiencing alcohol withdrawal.
C. Explain sleep hygiene to a consumer who has insomnia.
D. Stay with a consumer who has anorexia nervosa for 1 hr after mealtimes. - ANS-D. Stay with
a client who has anorexia nervosa for 1 hr after mealtimes.
Staying with a customer who has anorexia nervosa following mealtimes is inside the range of
function of an AP. APs are allowed to take care of the safety of clients who're stable, and this
venture does now not require evaluation or technical ability.
A nurse in a intellectual hospital is caring for a purchaser who has schizophrenia. Which of the
subsequent findings places the consumer on the best hazard for self-directed harm or injuring
others?
A. Inability to talk with others
B. Feelings of absence of self-worth
C. Lack of motivation to perform day by day responsibilities
D. Command hallucinations - ANS-D. Command hallucinations
A customer who has schizophrenia and is experiencing command hallucinations can listen
voices telling them to hurt themselves or others. Therefore, a client who is experiencing
command hallucinations is at the greatest threat for self-directed harm or injuring others.
A nurse in an emergency branch is worrying for a girl adolescent who has a diagnosis of bulimia
nervosa and has a fainting episode in the course of a ballet performance. Which of the
subsequent statements by the figure acknowledges the patron's diagnosis?
A. "She works so tough at ballet. Will she still be capable of carry out?"
B. "She might not permit me take the trash from her room. I'm worried about what she has in
there."
C. "She instructed me she turned into worn-out, so I did her chores for her today."
A charge nurse on a intellectual fitness unit is discussing patron rights with a newly licensed
nurse. Which of the subsequent statements should the charge nurse make?
A. "Clients can't refuse to take medicines if they may be admitted involuntarily."
B. "You can notify a consumer's circle of relatives if they are admitted involuntarily."
C. "Clients who are admitted involuntarily maintain the proper to offer informed consent for
strategies."
D. "You can dispose of a consumer's privileges if they are admitted involuntarily and refuse to
wait remedy classes." - ANS-C. "Clients who are admitted involuntarily keep the right to present
knowledgeable consent for methods."
Clients who are admitted involuntarily keep the proper to provide informed consent for
treatment. They additionally have the proper to give knowledgeable consent for strategies.
A client who has a latest diagnosis of bipolar disorder is placed in a room with a patron who has
excessive despair. The consumer who has melancholy reviews to the nurse, "My roommate
never sleeps and continues me up, too." Which of the subsequent moves ought to the nurse
take?
A. Move the customer who has bipolar disorder to a private room.
B. Administer sleep remedy to the consumer who has bipolar disorder.
C. Move the client who has intense depression to a private room.
D. Administer sleep medicine to the consumer who has excessive despair. - ANS-A. Move the
customer who has bipolar disorder to a personal room.
Clients who've bipolar disorder can disrupt the therapeutic milieu for different customers.
Therefore, the nurse should pass this purchaser to a personal room.
A nurse at a carriers workplace is interviewing an older grownup consumer. Which of the
following actions need to the nurse plan to take?
Nurse's Notes
The customer reviews a history of anxiety; recognized with Alzheimer's ailment 2 months ago.
The client's companion died 6 months ago. Reports reduced urge for food, low strength stages,
and insomnia for several weeks; some memory loss.
Graphic Results
SaO2 ninety six% on room air
Respiratory charge 20/min
Blood strain 112/seventy six mm Hg (lying)
,Blood strain 104/68 mm Hg (standing)
Heart charge 68/min
Temperature 36° C (96.Eight° F)
Medication Administration Record
Captopril 12.5 mg by means of mouth 3 instances each day
Digoxin zero.One hundred twenty five mg by using mouth every morning
Multivitamin with iron one by means of mouth every day
Docusate sodium 50 mg via mouth each evening
A. Use a screening tool to assess the client for melancholy
B. Ask the issuer to decrease the dosage of the patron's blood stress remedy.
C. Instruct the clie - ANS-A. Use a screening device to assess the client for depression
Depression may be underdiagnosed among older grownup customers. The nurse should
discover numerous threat factors for melancholy from the consumer's statistics, which includes
having Alzheimer's disorder, anxiety, and the loss of a loved one. Manifestations of depression
also can be nonspecific for older grownup customers and can encompass weight loss,
decreased power ranges, and trouble drowsing.
A nurse in a network clinic is teaching households of clients who've submit-annoying stress
sickness (PTSD) about anticipated clinical manifestations. Which of the subsequent
manifestations ought to the nurse consist of?
A. Repeatedly talks approximately the demanding incident
B. Sleeps excessively
C. Stories emotions of isolation
D. Uses repetitive speech - ANS-C. Reports emotions of isolation
The nurse need to assume clients who've PTSD to experience estranged and indifferent from
others.
A nurse in a network health facility is operating with a group of clients who've post-demanding
pressure ailment. Which of the subsequent interventions need to the nurse encompass to
lessen anxiety a number of the institution contributors?
A. Response prevention
B. Guided imagery
C. Aversion remedy
D. Light remedy - ANS-B. Guided imagery
Guided imagery involves helping the client to assume a restful and secure location. This method
is effective in reducing anxiety in clients who've publish-annoying stress ailment.
, A nurse in a intellectual fitness clinic is caring for a customer who has submit-annoying pressure
sickness (PTSD) after returning from military deployment. Which of the following is the concern
motion for the nurse to take?
A. Assist the consumer to pick out non-public regions of strength.
B. Encourage the consumer to talk about experiences for the duration of the deployment.
C. Stay with the purchaser while flashbacks arise.
D. Teach the client pressure-management strategies. - ANS-C. Stay with the consumer whilst
flashbacks arise.
The best chance to this purchaser is harm that could arise at some point of a flashback;
therefore, the concern intervention for the nurse is to remain with the client and offer
reassurance and help while flashbacks occur.
A nurse in a mental fitness clinic is making plans for 4 clients. Which of the subsequent tasks
should the nurse delegate to an assistive employees (AP)?
A. Discuss outpatient resources with a customer who has submit-demanding pressure sickness.
B. Create a plan of care for a client who's experiencing alcohol withdrawal.
C. Explain sleep hygiene to a consumer who has insomnia.
D. Stay with a consumer who has anorexia nervosa for 1 hr after mealtimes. - ANS-D. Stay with
a client who has anorexia nervosa for 1 hr after mealtimes.
Staying with a customer who has anorexia nervosa following mealtimes is inside the range of
function of an AP. APs are allowed to take care of the safety of clients who're stable, and this
venture does now not require evaluation or technical ability.
A nurse in a intellectual hospital is caring for a purchaser who has schizophrenia. Which of the
subsequent findings places the consumer on the best hazard for self-directed harm or injuring
others?
A. Inability to talk with others
B. Feelings of absence of self-worth
C. Lack of motivation to perform day by day responsibilities
D. Command hallucinations - ANS-D. Command hallucinations
A customer who has schizophrenia and is experiencing command hallucinations can listen
voices telling them to hurt themselves or others. Therefore, a client who is experiencing
command hallucinations is at the greatest threat for self-directed harm or injuring others.
A nurse in an emergency branch is worrying for a girl adolescent who has a diagnosis of bulimia
nervosa and has a fainting episode in the course of a ballet performance. Which of the
subsequent statements by the figure acknowledges the patron's diagnosis?
A. "She works so tough at ballet. Will she still be capable of carry out?"
B. "She might not permit me take the trash from her room. I'm worried about what she has in
there."
C. "She instructed me she turned into worn-out, so I did her chores for her today."
